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Game-based balance training in older adults: systematic review and meta-analysis

2026-06Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorTomé, Ana
dc.contributor.authorCastro, Silvia
dc.contributor.authorRosa, Marlene
dc.contributor.authorTomás, Maria Teresa
dc.contributor.authorFontes, Ana Paula Fontes
dc.contributor.authorPais, Sandra
dc.date.accessioned2026-09-17T14:23:53Z
dc.date.available2026-09-17T14:23:53Z
dc.date.issued2026-06
dc.descriptionAcknowledgments: This work was funded by national funds through FCT – Fundação para a Ciência e a Tecnologia, I.P., Centro de Inovação em Tecnologias e Cuidados de Saúde (Citechare) under the reference UID/05704/2025, DOI: 10.54499/UID/05704/2025. The authors also thank the anonymous reviewers for their valuable comments to improve this manuscript.
dc.description.abstractFunctional decline in older adults is a major contributor to both falls and increased fall risk. Nevertheless, such decline may be mitigated through multidimensional interventions. Game-based and gamified interventions have emerged as promising alternative strategies. This study aimed to evaluate the effectiveness of these approaches in improving balance and reducing fall risk among community-dwelling adults aged 65 years and over. The research question was: Do serious games and gamification improve balance and reduce fall risk in community-dwelling older adults, compared with exercise programmes, non-gamified interventions, or control conditions? A systematic search of randomised controlled trials was conducted in accordance with PRISMA guidelines, resulting in the inclusion of nine studies from 634 records screened. Meta-analysis demonstrated significant improvements in the Functional Reach Test and the Berg Balance Scale. However, no significant overall effects were observed for the Timed Up and Go Test or the Single-Leg Stance Test. Although game-based interventions may improve specific dimensions of balance in community-dwelling older adults, the findings should be interpreted with caution. The limited number of studies, small sample sizes, heterogeneity of interventions, and reliance on balance-related surrogate outcomes rather than direct measures of fall incidence highlight the need for further high-quality research.eng
dc.description.sponsorshipThis work was supported by FCT - Fundação para a Ciência e Tecnologia, I.P. by project reference "UID/05704/2025" and DOI identifier https://doi.org/10.54499/UID/05704/2025.
dc.identifier.citationGame-based balance training in older adults: systematic review and meta-analysis. (2026). International Journal of Serious Games, 13(3), 93-122. https://doi.org/10.17083/w2h3h873
dc.identifier.doi10.17083/w2h3h873
dc.identifier.issn2384-8766
dc.identifier.urihttp://hdl.handle.net/10400.8/16873
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSerious Games Society
dc.relationCenter for Innovative Care and Health Technology
dc.relation.hasversionhttps://journal.seriousgamessociety.org/index.php/IJSG/article/view/1333
dc.relation.ispartofInternational Journal of Serious Games
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectBalance
dc.subjectFall prevention
dc.subjectGames
dc.subjectGamification
dc.subjectOlder adults
dc.subjectPlayful interventions
dc.titleGame-based balance training in older adults: systematic review and meta-analysiseng
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUID/05704/2025
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIhttp://hdl.handle.net/10400.8/16767
oaire.citation.endPage122
oaire.citation.issue3
oaire.citation.startPage93
oaire.citation.titleInternational Journal of Serious Games
oaire.citation.volume13
oaire.fundingStreamAvaliação UID 2023/2024
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTomé
person.familyNameNeves Rosa
person.givenNameAna Maria
person.givenNameMarlene Cristina
person.identifier.ciencia-idD615-002F-8E48
person.identifier.orcid0000-0003-0122-8579
person.identifier.orcid0000-0001-8276-655X
person.identifier.ridK-7059-2013
person.identifier.scopus-author-id55924760400
relation.isAuthorOfPublication2d00e9fc-978e-4152-a6ae-70c6d155e15c
relation.isAuthorOfPublication52d477a2-9d14-443e-bb8e-85b1009da4ae
relation.isAuthorOfPublication.latestForDiscovery2d00e9fc-978e-4152-a6ae-70c6d155e15c
relation.isProjectOfPublication0cff4974-844d-4013-8925-4077ed05335a
relation.isProjectOfPublication.latestForDiscovery0cff4974-844d-4013-8925-4077ed05335a

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